| NPI | 1114331378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LAVINIA CONYERS Founder/Director 678-895-5681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA 007613) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |